Individual
DR. CAMILLE VERA GANNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
103287
CA
Other
Enumeration date
04/08/2014
Last updated
07/19/2023
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